Provider Demographics
NPI:1093782690
Name:ARMSTRONG, AMY N (AA-C)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:N
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:AA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3100 SPRING FOREST RD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27616-2880
Mailing Address - Country:US
Mailing Address - Phone:919-873-9533
Mailing Address - Fax:919-873-9821
Practice Address - Street 1:3714 GUARDIAN AVE
Practice Address - Street 2:SUITE E
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-2974
Practice Address - Country:US
Practice Address - Phone:252-222-5862
Practice Address - Fax:252-247-4675
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH67-000034367H00000X
NC1000-00199367H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367H00000XPhysician Assistants & Advanced Practice Nursing ProvidersAnesthesiologist Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCP00742939OtherRAILROAD MEDICARE
NC8000505Medicaid
NC1093782690OtherTRICARE - NORTH REGION
NC1093782690OtherTRICARE - NORTH REGION